Campbell, Derrick Altwain

Campbell, Derrick Altwain is an individual health care provider with primary practice located at 514 S Hunt Club Blvd , Apopka FL 32703-4948. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Campbell, Derrick Altwain can be contacted via phone (407) 613-2335.

Contact Information

Primary practice address
514 S Hunt Club Blvd Apopka FL 32703-4948
Phone: (407) 613-2335
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-20-10936 Florida

Profile Details

NPI number 1922666098
LBN Legal business name Campbell, Derrick Altwain
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2019
Last updated Mar 5th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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